Fatima Cabal Tagle, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP3316 Issued in AZ

Practice address

3202 E Greenway Rd
Phoenix, AZ 85032-4548

Phone

(602) 325-5577

Fax

(415) 252-7176

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Fatima Castanar Cabal Former name

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1619376456
  Medicare reassignment Care Compare group NPD
• Good Samaritan Family Practice

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1366802159

  AZ

  Medicare reassignment NPD
• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1568991511
  Medicare reassignment NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Glendale, CO
  • NPI 1366827024
  Medicare reassignment NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1457755563
  NPD
• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1023632239
  NPD
• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1346750841
  NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1538518584
  NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1659790921
  NPD (past)
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD (past)
• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1851858666
  NPD (past)
• Iora Health, LLC

  • Internal Medicine Physician
  • Hanover, NH
  • NPI 1700285616
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1033201405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21618 N 44TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506934",
            "telephone_number": "480-513-0793",
            "fax_number": "480-513-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324548",
            "telephone_number": "602-325-5577",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 N 3rd St",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850123031",
            "country_code": "US",
            "telephone_number": "602-462-1132",
            "fax_number": "602-462-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8175 Sheridan Blvd Unit N",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800031928",
            "country_code": "US",
            "telephone_number": "303-557-0855",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGLE",
        "first_name": "FATIMA",
        "middle_name": "CABAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704203126",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "C-APN.0002138-C-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP3316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470247810",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "FC203126",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00231988",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470246910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "CABAL",
            "middle_name": "CASTANAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chani Marie Taggart, DO
• Patrick Vincent Taggart, DO
• Bahram Taghavi, M.D.
• Farhan Taghizadeh, MD
• Maria Theresa Tagle-Galasso, N.P.
• Angelyca Joi Taguba
• Rachel Marantan Taguba, NP
• Kylie Tahakjian, M.A.
• Yarden Tahan, M.D.
• Leila Taherkhani, RPH

• Gerontology Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.